| NPI | 1407174626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 31437) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 26438) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2023-01-17 |