| NPI | 1780845305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010003236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5703) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2013-03-07 |