| NPI | 1528220563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 4166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R8398) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2012-05-22 |