| NPI | 1861841132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS16593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD H0087459) |
| 208000000X Pediatrics (Licence: FL UO4896) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-09-22 |