| NPI | 1881867646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101255477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2007-01195) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2020-01-15 |