| NPI | 1235316175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM A-2168-18) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 4749) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2018-07-10 |