| NPI | 1124062435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 43186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-30967) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-01-10 |