| NPI | 1558305888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 72556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 53897) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-03-09 |