| NPI | 1245272384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ACN437) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 12845) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-09-25 |