| NPI | 1306108329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 17153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100728) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2015-09-21 |