| NPI | 1790852085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC 33748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0059260) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-04-24 |