| NPI | 1598077323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.206164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2322) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-06-21 |