| NPI | 1346209954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200500233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 27578) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2023-06-14 |