| NPI | 1568704922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101021350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO2925) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2014-06-23 |