| NPI | 1831150713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 29675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 92-8435-95) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-07-26 |