| NPI | 1164639183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 6483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 05715DM-8) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-10-20 |