| NPI | 1245623693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0055109) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO3061) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2016-10-13 |