| NPI | 1265407704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 38255) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01052881a) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2019-07-02 |