| NPI | 1831518810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0011626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD460253) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2018-08-21 |