| NPI | 1124314554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2013042436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-37565) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-01-27 |