| NPI | 1093193690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO CDRH.0003308) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 67926) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-09-11 |