| NPI | 1780701649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 33073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 208000000X) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2014-05-13 |