| NPI | 1235118498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 0063531) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 39689) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-25 |