| NPI | 1639342512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D75881) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007024079) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2013-10-21 |