| NPI | 1952745234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 63524-20) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: WI 63524-20) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2016-12-21 |