| NPI | 1639265192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 20322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-14375) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-06-18 |