| NPI | 1295880417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 14465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 91204) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-08-19 |