| NPI | 1316386279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 65316-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6993) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2016-07-07 |