| NPI | 1124034418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist (Licence: PR 17188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 055724) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-04-02 |