| NPI | 1902817638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: KS 04-36865) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R7G90) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: MO R7G90) | |
| 208000000X Pediatrics (Licence: KS 04-36865) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-10-03 |