| NPI | 1669768271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 74003-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9252) |
| 208000000X Pediatrics (Licence: OR DO167349) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-10-20 |