| NPI | 1669761201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.35185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2014-00706) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-09-06 |