| NPI | 1275897019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 61077-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012020346) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2020-10-19 |