| NPI | 1629051255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 14651) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR 5324) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |