| NPI | 1548262504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 9556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.055406) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2016-05-11 |