| NPI | 1164415998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.024912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 060168) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2024-11-18 |