| NPI | 1487793477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101258919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-00787) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-07-01 |