| NPI | 1588682611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 31280) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI RI12120) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-04-12 |