| NPI | 1487882916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 67547) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 003587) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2013-04-03 |