| NPI | 1104809284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 27602-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD161114) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-03-07 |