| NPI | 1881734499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 3863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006018054) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-12-10 |