| NPI | 1225079619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA VA0101222140) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101222140) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-02-26 |