| NPI | 1851357834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2006022625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E3244) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-12-18 |