| NPI | 1366684391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-9522) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 24911) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2016-12-09 |