| NPI | 1881715746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101251377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-01121) |
| 208000000X Pediatrics (Licence: GA RTP001917) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-08-26 |