| NPI | 1912179672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2009010337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-34945) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2011-06-15 |