| NPI | 1205191350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101264516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI L2160187) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-02-15 |