| NPI | 1184642100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101241446) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 27136) |
| 208000000X Pediatrics (Licence: KY 41477) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-09-26 |