| NPI | 1407042476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 30232) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC TL 30232) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2025-04-21 |