| NPI | 1639490162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013010097) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-36264) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2013-06-24 |