| NPI | 1699976357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS10933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N6468) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2017-12-28 |