| NPI | 1144392184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0046688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2002-00691) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-01-04 |