| NPI | 1275952442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 321856) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 078082) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-07-22 |