| NPI | 1447471743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI 16137) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-241665) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-08-17 |