| NPI | 1265429716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA FH1847346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD438491) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2023-06-21 |