| NPI | 1285601823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD27218) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 23078) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-01-29 |