| NPI | 1184032518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 59487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 1184032518) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-08-06 |