| NPI | 1760470207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD171377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0058745) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2015-05-18 |