| NPI | 1487684015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010031549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 27666) |
| 208000000X Pediatrics (Licence: OK 26612) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-09-25 |