| NPI | 1861570269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200101097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 28870) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-09-25 |