| NPI | 1851368575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60097558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 45513) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-10-01 |