| NPI | 1235410044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 49634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 28633R) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-08-22 |