| NPI | 1407901168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.09474R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 09474R) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-12-03 |