| NPI | 1043283427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 031920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY C2960) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2025-03-07 |