| NPI | 1285779967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 61410) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-01455) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-10-31 |