| NPI | 1942223474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS-006612-L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C2-0003778) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |