| NPI | 1861665440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 43517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 67311) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2012-06-29 |