| NPI | 1669452371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME100100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 44006) |
| 208000000X Pediatrics (Licence: MI 4301044151) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2018-12-06 |