| NPI | 1437350196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.30312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN11025) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-07-23 |