| NPI | 1265605513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-35777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007013995) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2016-02-15 |