| NPI | 1427053032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 050206) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 47361) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-03-07 |