| NPI | 1427022110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 42609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 103005) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2025-08-29 |