| NPI | 1144372640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 247061) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 057795) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-07-07 |