| NPI | 1831184936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD12952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 46661) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2011-11-16 |