| NPI | 1346561537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 074388) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 37323) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-08-22 |