| NPI | 1194087643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 78457) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015015455) |
| 208000000X Pediatrics (Licence: KS 04-38033) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2022-06-29 |