| NPI | 1760785000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0051532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE TEP #6080) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2019-10-03 |