| NPI | 1760441208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 35176) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2004-01206) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-02-19 |