| NPI | 1538358593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL os12492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 4920) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2014-01-30 |