| NPI | 1861786006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS017129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT014254) |
| 208000000X Pediatrics (Licence: PA 0S017129) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2021-01-04 |