| NPI | 1548285364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 203917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 46732) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2014-12-18 |