| NPI | 1104884766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS0524091) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 225126) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-10-12 |