| NPI | 1134481328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-47289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015014710) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-11-14 |