| NPI | 1932582780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 080221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 7487) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-06-26 |