| NPI | 1073786711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 7536208-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006023670) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2021-11-11 |