| NPI | 1194722413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023050580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 34108) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2024-04-15 |