| NPI | 1881654200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 11170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 252078) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2015-01-12 |