| NPI | 1306049705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.29252) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101252251) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-07-13 |