| NPI | 1932172053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 52830-020) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD419476) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2009-06-22 |