| NPI | 1023250669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-01792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45399) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2018-09-19 |