| NPI | 1689657488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD0027662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M5747) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2011-01-13 |