| NPI | 1154392611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0068828) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301078214) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2013-04-04 |