| NPI | 1457525123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201400366) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 49897) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2022-02-03 |