| NPI | 1396975298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2012028973) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 05-35929) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2021-03-04 |