| NPI | 1346437340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 16930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 045967) |
| 208000000X Pediatrics (Licence: VT 042-0012099) | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2022-01-27 |