| NPI | 1447262878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9801418) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 36189) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-09-24 |