| NPI | 1497754071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 28421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01039507) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-02-14 |