| NPI | 1427579754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 60556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 34503) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-04-16 |