| NPI | 1184696189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 44137) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 30348) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-06-06 |