| NPI | 1992939979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-00817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 156757) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2020-10-25 |