| NPI | 1942339106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-26672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 111793) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-11-05 |