| NPI | 1811979172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 07864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 15476) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |