| NPI | 1659530285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 246621) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-236354) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-01-19 |