| NPI | 1336414465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0013734) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301108426) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2020-07-09 |