| NPI | 1346221892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD43621) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9207594-1205) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-11-16 |