| NPI | 1932294717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-00933) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 41338) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-12-12 |