| NPI | 1316139132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016016721) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-36475) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2016-08-15 |