| NPI | 1922395649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-01884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL33830) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-10-26 |