| NPI | 1033646518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 20289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112067) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-06-01 |