| NPI | 1205879483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-8077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M8077) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-11-10 |