| NPI | 1003255605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 35809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL35809) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-12-14 |