| NPI | 1477614246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 59753) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0075513) |
| 208000000X Pediatrics (Licence: VA 0101242087) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-07-02 |