| NPI | 1568435527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 203539) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 058085) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-08-13 |