| NPI | 1801984497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 29631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 102581) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-08-17 |