| NPI | 1669426300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200500372) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101102526) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |