| NPI | 1295790756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 55556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 00025323) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-01-30 |