| NPI | 1447690631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 11953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013018187) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-08-11 |