| NPI | 1215196605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 30773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL30773) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-11-19 |