| NPI | 1891773040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M2654) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M2654) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2014-06-18 |