| NPI | 1528296894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017020520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0435736) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-10-17 |