| NPI | 1417110420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2011008023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-36010) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2014-07-29 |