| NPI | 1891904546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 55298-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7249) |
| 208000000X Pediatrics (Licence: IA 37206) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-12-19 |