| NPI | 1669700811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 4946) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 11618) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2017-01-24 |