| NPI | 1407814403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 72892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101236384) |
| 208000000X Pediatrics (Licence: NC 9600311) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2022-08-25 |