| NPI | 1194780064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 54370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 057370) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-06-05 |