| NPI | 1255770533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 36303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 35996) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-03-17 |