| NPI | 1194067983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 108610) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 64939) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2023-09-08 |