| NPI | 1366415846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 49275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 161302) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2021-03-22 |