| NPI | 1306834361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME93202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 67037) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2025-01-29 |