| NPI | 1669638128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60256682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ r70643) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2011-12-14 |