| NPI | 1598921389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 49868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-054088) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2013-07-22 |