| NPI | 1477587707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-31925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006016943) |
| 208000000X Pediatrics (Licence: LA 026130) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-06-28 |