| NPI | 1689828345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60156926) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7151943-1205) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2011-09-13 |