| NPI | 1083977359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS14680) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P8423) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2019-12-30 |