| NPI | 1992916621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 204871) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-1939) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-07-19 |