| NPI | 1902031057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101022161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO2117) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2019-02-05 |