| NPI | 1073834214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-01668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4240) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-10-28 |