| NPI | 1043507932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 90593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 81032) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2023-08-17 |