| NPI | 1598145104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS019331) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT016708) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2018-07-09 |