| NPI | 1851581714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 50854) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101015631) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-10-13 |