| NPI | 1821225046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-00053) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8278611-1205) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2013-02-04 |