| NPI | 1457580516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME119621) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 57175) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2018-11-21 |