| NPI | 1881898567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201200332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL29942) |
| 208000000X Pediatrics (Licence: FL ME109388) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-09-08 |