| NPI | 1225027618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101051031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 52163) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2013-03-29 |