| NPI | 1356315428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC TL32184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME76610) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-04-27 |