| NPI | 1154459683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-32081) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006022062) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |