| NPI | 1619001989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200700464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 26940) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-10-25 |