| NPI | 1972584019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC MD34159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 20004000270) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2016-10-26 |