| NPI | 1053607028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-8718) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4811) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2017-06-27 |