| NPI | 1891006888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME117943) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 70973) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-01-15 |