| NPI | 1871735449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO R6H01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0007053) |
| 208000000X Pediatrics (Licence: AZ 35894) | |
| 208000000X Pediatrics (Licence: CA G88019) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2009-03-29 |