| NPI | 1346276482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 46132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD061706L) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-03-12 |