| NPI | 1972535375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9601125) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 96-01125) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-01-28 |