| NPI | 1063724748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 49625) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: SD 7782) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2017-02-08 |