| NPI | 1598884942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 39146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 00021495) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-01-19 |