| NPI | 1700049780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 39031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R1667) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-11-03 |