| NPI | 1295050680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD173783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR0052065) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2018-07-11 |