| NPI | 1255529533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME106609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 106609) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2019-04-17 |