| NPI | 1235405705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-14767) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60548197) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-08-09 |