| NPI | 1669465688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD30496) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS MS16050) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |