| NPI | 1205096286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101250332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 26432) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2012-10-08 |