| NPI | 1659582112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101245139) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 42406) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-05-25 |