| NPI | 1871633131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60106936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 12152) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2015-06-23 |