| NPI | 1356664205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 15694) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NV 15694) |
| Enumeration Date | 2010-03-07 |
| Last Update Date | 2020-11-16 |