| NPI | 1235149972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301055381) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI GN055381) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-07-06 |