| NPI | 1922325380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101254713) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD Pending) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2019-04-24 |