| NPI | 1053573972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME109460) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 390200000X) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-05-09 |