| NPI | 1972570828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0059626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME83058) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-05-14 |