| NPI | 1932574480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 21092) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 32145R) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2019-07-01 |