| NPI | 1992971105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 69044) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116017079) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2014-12-29 |