| NPI | 1730363847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60222645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 048534) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2016-02-10 |