| NPI | 1356323273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 063553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2003012665) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-04-07 |