| NPI | 1942511753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013020294) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4266) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-03-24 |