| NPI | 1699855791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME99340) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN8823) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-01-23 |