| NPI | 1174837991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 56958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72278) |
| 208000000X Pediatrics (Licence: MN 106908) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-05-22 |