| NPI | 1093795486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.45287) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 045552) |
| 208000000X Pediatrics (Licence: OH 35-088592) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-01-03 |