| NPI | 1437561032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 69166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MMD.36881 LL) |
| 208000000X Pediatrics (Licence: SC 36881) | |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2018-10-23 |