| NPI | 1043471642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 2128) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 4437) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2009-11-02 |