| NPI | 1780647263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 53698-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101231620) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2016-07-15 |