| NPI | 1891937462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 55505-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD462973) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2018-10-04 |