| NPI | 1871856773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 006706) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL1595) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2016-11-16 |