| NPI | 1770546160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101055396) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 055396) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2009-11-20 |