| NPI | 1295953065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 22597) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 41101) |
| 208000000X Pediatrics (Licence: KY TP232) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-07-05 |