| NPI | 1770894768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A126632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-07530) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2018-06-18 |