| NPI | 1023288511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 6988505-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 060307) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2023-04-19 |