| NPI | 1528324191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015015442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0437889) |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2015-07-21 |