| NPI | 1225272081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 18933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 67689) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2019-07-19 |