| NPI | 1013099043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A118688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0433999) |
| 208000000X Pediatrics (Licence: HI MD-13930) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-05-06 |