| NPI | 1669670634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 43329) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 81932) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2011-02-16 |