| NPI | 1487632402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME128197) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01063606A) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2016-07-20 |