| NPI | 1639350408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 42272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 20038) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2015-07-01 |