| NPI | 1104875715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 10675) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 10675) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-01-10 |