| NPI | 1851368617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0430263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2003010766) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2007-07-08 |