| NPI | 1093049553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 43995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71114) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2015-09-18 |