| NPI | 1811023179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2007023401) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-06283) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2017-03-27 |