| NPI | 1386655702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301406717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI AK406717) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-07-06 |