| NPI | 1972553592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2001008554) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-29941) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-09-29 |