| NPI | 1003922139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 26354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 61457727) |
| 208000000X Pediatrics (Licence: IL 036.165401) | |
| 208000000X Pediatrics (Licence: GA 57948) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-07-20 |