| NPI | 1194919100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 060864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.200995) |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2008-07-07 |