| NPI | 1528178761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD09556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00015510) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-17 |