| NPI | 1811976319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101227849) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7725550-8017) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-07-26 |