| NPI | 1265412332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 5875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 35886) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-04-18 |