| NPI | 1164455481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 033810) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260516) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-06-10 |