| NPI | 1538233192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-01597) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 046190) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-01-22 |