| NPI | 1164746806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 32435) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.32435) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2014-02-20 |