| NPI | 1780776393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 24450) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 37592) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2014-08-08 |