| NPI | 1790822542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 185455-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 1854551205) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2012-01-24 |