| NPI | 1831537059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016011603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-38865) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2016-06-29 |