| NPI | 1982886123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 2009-0207) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM MD2009-0207) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-04-10 |