| NPI | 1457444671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 43554) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 051424) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-10-14 |