| NPI | 1215074513 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME76329)  | 
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME0076329)  | 
| Enumeration Date | 2007-01-30 | 
| Last Update Date | 2011-12-05 |