| NPI | 1760823769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS018108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT015441) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2020-07-10 |