| NPI | 1164714614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A134678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 48922) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2023-05-26 |