| NPI | 1003982687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 48874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 7066) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2022-04-18 |