| NPI | 1730183674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD11187R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 11187) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-03-03 |