| NPI | 1225236599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 0510639) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 1732) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2021-12-15 |