| NPI | 1932463312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 23466) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2592) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2017-05-09 |