| NPI | 1316073695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 054888) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 054888) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2022-01-07 |