| NPI | 1851520126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C156447) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0009073) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2019-08-15 |