| NPI | 1528402898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 33800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 76286) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2019-06-04 |