| NPI | 1407174147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 85877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME116618) |
| 208000000X Pediatrics (Licence: SC MD39717) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2020-08-12 |