| NPI | 1114131083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-10961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010014130) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2018-03-22 |