| NPI | 1275631640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 10932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 30705) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-12-29 |