| NPI | 1932317815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301101202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7932) |
| 208000000X Pediatrics (Licence: MA 237411) | |
| 208000000X Pediatrics (Licence: CT 047561) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-12-28 |