| NPI | 1396032652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 48857) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72590) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2014-06-09 |