| NPI | 1982784880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 20907) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 20907) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-03-20 |