| NPI | 1467773200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 068766) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4173) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-02-27 |