| NPI | 1750445946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35086564) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 21793) |
| 208000000X Pediatrics (Licence: GA 043150) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |