| NPI | 1235380593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ZZ 80234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 20414) |
| 208000000X Pediatrics (Licence: AL 34287) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2024-08-07 |