| NPI | 1225089162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME66125) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 040962) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-02-22 |