| NPI | 1417918491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101234548) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0059637) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2008-05-23 |