| NPI | 1184800211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME113770) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC TL32095) |
| 208000000X Pediatrics (Licence: GA 002146) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2023-02-22 |