| NPI | 1821296799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 7016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 5718) |
| 208000000X Pediatrics (Licence: CA A104797) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2016-02-12 |