| NPI | 1982602439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0427906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 106790) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2009-05-28 |