| NPI | 1033477401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 55887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.32649) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-06-07 |