| NPI | 1891016333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2011036415) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 05-36676) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2013-08-02 |