| NPI | 1689623183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-34064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2002029455) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-03-09 |