| NPI | 1235383456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 55255) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301092305) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2014-07-07 |