| NPI | 1841322914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR LNB354) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |