| NPI | 1558301598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI RI12170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101246992) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-10-08 |