| NPI | 1497780027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101241555) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 057807) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-05-03 |