| NPI | 1952502213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301115085) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0072297) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2018-06-27 |