| NPI | 1962670364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 27969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO ASA3835571) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-10-04 |