| NPI | 1700060480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 42787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 81703) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2014-04-24 |