| NPI | 1952309148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-19627) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0419627) |
| 208000000X Pediatrics (Licence: MO R9B94) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-05-31 |