| NPI | 1306020086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID O 0490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R881) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2021-07-13 |