| NPI | 1811946320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 29141) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 25904) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-11-25 |