| NPI | 1467742866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME140315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01073924A) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2019-06-25 |