| NPI | 1831435858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 26885) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 32081) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-09-04 |