| NPI | 1376526392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 308800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 42447) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-07-21 |