| NPI | 1073551503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: GA 052636) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 05236) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-08-08 |