| NPI | 1588605752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 40932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 42801) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-06-14 |