| NPI | 1811125545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 008030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 7727) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2019-07-23 |