| NPI | 1598732950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 042215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 220260) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |