| NPI | 1992793988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD28419) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2004-0564) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2009-04-17 |