| NPI | 1700941408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C54690) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 35351) |
| 208000000X Pediatrics (Licence: OH 87645) | |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2016-02-16 |