| NPI | 1336195171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 23436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 24042) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-12-22 |