| NPI | 1598792061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 13520) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 13520) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-09-25 |