| NPI | 1528389327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-04440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8961) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2016-06-27 |