| NPI | 1194992172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101275037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010028332) |
| 208000000X Pediatrics (Licence: OH 57013380) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2023-01-30 |