| NPI | 1700197530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 49479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.055268) |
| 208000000X Pediatrics (Licence: AZ 45333) | |
| Enumeration Date | 2010-06-26 |
| Last Update Date | 2019-12-27 |