| NPI | 1699765347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 8457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 024456) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-12-09 |