| NPI | 1922286111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 061399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 001364) |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2008-09-11 |