| NPI | 1871795773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101249644) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0070329) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2011-09-27 |