| NPI | 1760701239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD46287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 70155) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2013-01-21 |