| NPI | 1902862063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO R6N19) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-31653) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |