| NPI | 1144333022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 12080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 6615A) |
| 208000000X Pediatrics (Licence: MN 41901) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2019-02-28 |