| NPI | 1528030400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 68875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 6398A) |
| 208000000X Pediatrics (Licence: MN 40846) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-09-25 |