| NPI | 1104034248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.202215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 27112) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-12-17 |