| NPI | 1912081175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 27298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-01584) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-02-07 |