| NPI | 1548476153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60581818) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088035) |
| 208000000X Pediatrics (Licence: IA MD-38213) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-05-05 |