| NPI | 1447646534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 82981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0085509) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-07-01 |