| NPI | 1417104779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL me116204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 047232) |
| 208000000X Pediatrics (Licence: LA 205364) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-07-21 |