| NPI | 1427128123 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101241751) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D64556) | 
| Enumeration Date | 2006-11-09 | 
| Last Update Date | 2014-03-28 |