| NPI | 1861511123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0061383) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301091404) |
| 208000000X Pediatrics (Licence: MD D70521) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-11-20 |