| NPI | 1043368756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 56610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D67353) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-07-30 |