| NPI | 1437116258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD43440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0422580) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-03-30 |