| NPI | 1083939995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-36579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013030343) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2013-09-06 |