| NPI | 1649358896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 5915) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101058152) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-10-01 |