| NPI | 1164756987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 268609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71118) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2016-10-20 |