| NPI | 1376515502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9700425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC NC9700425) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-11-26 |