| NPI | 1104869767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101241326) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 12445) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-11-28 |