| NPI | 1194832204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 29126) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101235529) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-09-27 |