| NPI | 1154565950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 67290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 003953) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-01-10 |