| NPI | 1134348865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0052341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5221) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-07-27 |