| NPI | 1245238161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 150791) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-01303) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2021-11-24 |