| NPI | 1063541001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD434268) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003288) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-02-10 |