| NPI | 1366492068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.12215R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 25555) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-10-24 |