| NPI | 1346288073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 44047) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301069698) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-05-09 |