| NPI | 1780639674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 15534) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: SC 173000000x-Legal Med) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-10-08 |