| NPI | 1942591565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2017-01892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 37430) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2018-11-08 |