| NPI | 1679621916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 1013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018026723) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-12-29 |