| NPI | 1336314558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2011-01401) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 35803) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2022-04-12 |