| NPI | 1811191521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2010-00826) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 2010-00826) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-07-24 |