| NPI | 1811192529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 434356) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 43464) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2011-03-22 |