| NPI | 1003011735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS10957) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO1652) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2010-09-24 |