| NPI | 1245466424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 4308) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8671) |
| 208000000X Pediatrics (Licence: WI 72099) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2022-05-11 |