| NPI | 1891923330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.208035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 7224) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2018-10-09 |