| NPI | 1598052185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 23265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2491) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2017-05-09 |