| NPI | 1457516734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 54993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND 10937) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-01-03 |