| NPI | 1598099145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301101681) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 2094061) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2020-01-06 |