| NPI | 1356329130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 33362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022026243) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-05-08 |