| NPI | 1407850845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 031945) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 031945) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2024-02-07 |