| NPI | 1093949117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 321372) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 321372) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2020-08-26 |