| NPI | 1174798599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 38136) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-00086) |
| 208000000X Pediatrics (Licence: AR E-6841) | |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2021-06-08 |