| NPI | 1043414535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7398) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096703) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-04-07 |