| NPI | 1417134545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 066159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 002727) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-01-07 |