| NPI | 1063469955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VI 1425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D62776) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-03-28 |