| NPI | 1548259872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 5300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00042546) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-06-30 |