| NPI | 1972951127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 70604-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10546) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-09-10 |