| NPI | 1174644991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2005020561) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-31133) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-06-14 |