| NPI | 1629051826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 15235) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00030248) |
| 208000000X Pediatrics (Licence: ID m6126) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2014-08-25 |