| NPI | 1033473350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301111606) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012020961) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-07-21 |