| NPI | 1174594352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD MD D0053901) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-03-01 |