| NPI | 1992190268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015016246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-08817) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2017-05-12 |