| NPI | 1942299367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0433384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 045503) |
| 208000000X Pediatrics (Licence: KY TP689) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2009-01-27 |