| NPI | 1669439477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 114498) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-27534) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-02-16 |