| NPI | 1992190219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD468105) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML 60561460) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-10-03 |