| NPI | 1962497586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 76982) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 76982) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2015-08-24 |