| NPI | 1003924978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 026236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98533) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-06-14 |