| NPI | 1942564745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-04638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9571) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2015-03-26 |