| NPI | 1184680241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2005007054) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-31628) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-01-18 |