| NPI | 1407019375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 21719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS AU5009697 1339) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-02-04 |