| NPI | 1639512981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR PG163378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD176937) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2016-06-14 |