| NPI | 1861616351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.200287) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: LA md.200287) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |