| NPI | 1326221698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 67096) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 19949) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2014-07-01 |