| NPI | 1518221464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 87472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 34745) |
| 208000000X Pediatrics (Licence: GA 5512) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2021-02-19 |