| NPI | 1205249117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC LL36978) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 36978) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-11-11 |