| NPI | 1285781575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 039602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 60541) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-06-09 |