| NPI | 1134219637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 79806) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-0971) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-07-07 |