| NPI | 1144260712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 44416) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101014794) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-11-17 |