| NPI | 1043264377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD41336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 45090) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-03-30 |