| NPI | 1699705236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 5705) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 32310) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-04-16 |