| NPI | 1548526767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0062703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD. 208070) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2019-06-21 |