| NPI | 1174844708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 82904) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101253039) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-12-02 |