| NPI | 1265517627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101239194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME85993) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |