| NPI | 1598923294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301113898) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 248321) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2018-03-17 |