| NPI | 1780698860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 253200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 7045A) |
| 208000000X Pediatrics (Licence: NH 13313) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-05-01 |