| NPI | 1629014303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD163549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 40950) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-03-24 |