| NPI | 1003109794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 10188155) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 62569-20) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2024-10-03 |