| NPI | 1972731347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO FM3326217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS FM3382974) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2012-10-23 |