| NPI | 1528202140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0088021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 53696) |
| 208000000X Pediatrics (Licence: WI 64082) | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2020-04-15 |