| NPI | 1942271903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 27747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200500013) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-05-16 |