| NPI | 1841462868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015036171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 03333) |
| 208000000X Pediatrics (Licence: FL OS11780) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2016-01-15 |