| NPI | 1043302771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME80604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T2548) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-09-24 |