| NPI | 1821141334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 12681) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 57944) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |