| NPI | 1225067945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 33971) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 33971) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2021-07-26 |