| NPI | 1568811750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS020039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT017247) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2019-08-27 |