| NPI | 1578516233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 42641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5203381-12050) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-07-12 |