| NPI | 1386026375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2018009697) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015017624) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-08-21 |