| NPI | 1235184094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N1620) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: VA 0101239704) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-08-03 |