| NPI | 1902999162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 16176) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 26744) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-16 |