| NPI | 1013313527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-02770) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 61443) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2024-02-16 |