| NPI | 1851753560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301117045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657589) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-08-20 |