| NPI | 1447296637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME124650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 51039) |
| 208000000X Pediatrics (Licence: IA 39098) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-11-22 |