| NPI | 1013035575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101345755) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-000 3530) |
| 208000000X Pediatrics (Licence: PA MT 188774) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-10-03 |