| NPI | 1124169909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0070184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 24023) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-08-19 |