| NPI | 1194781187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2002002717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0429492) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-02-05 |