| NPI | 1578752010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010015950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2007-01531) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2021-01-19 |