| NPI | 1316200215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 65619-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012020904) |
| 208000000X Pediatrics (Licence: CA A135678) | |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2016-06-30 |