| NPI | 1104142611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-9707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.205060) |
| 208000000X Pediatrics (Licence: AL MD.33245) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-05-30 |