| NPI | 1235174525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 37931) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 37931) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-03-12 |