| NPI | 1356304091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E2459) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 23620) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-07-21 |