| NPI | 1336282904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 324110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2005013750) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-10-02 |