| NPI | 1689052938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019003931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107087) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2019-11-21 |