| NPI | 1265828958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD464862) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0005916) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-01-03 |