| NPI | 1740449925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 5028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A 10046) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2016-09-09 |