| NPI | 1023010543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 52382) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301081153) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-03-30 |