| NPI | 1245677111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-01611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL35737) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2024-02-15 |