| NPI | 1598797557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 59317) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD174826) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2015-12-09 |