| NPI | 1942276522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-29474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04.29474) |
| 208000000X Pediatrics (Licence: MO 2002002171) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2012-05-31 |