| NPI | 1720164635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 038249) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 75340) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |