| NPI | 1992763981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD45116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME78055) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2018-09-12 |