| NPI | 1174856785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301096603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 81939) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2021-09-15 |