| NPI | 1285824045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 30442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101244224) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2019-06-04 |