| NPI | 1326292269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0012834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7148432-1205) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2023-06-30 |