| NPI | 1861632267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 8739) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: PR 8739) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |