| NPI | 1659350015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 16698) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 27027) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-12-28 |