| NPI | 1841246238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101234245) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 17139) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-01-08 |