| NPI | 1952513780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D70621) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 21640) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-06-14 |