| NPI | 1649434820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0056132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60019721) |
| 208000000X Pediatrics (Licence: AK 7216) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2016-02-16 |