| NPI | 1609118231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017022656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-40179) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-11-27 |