| NPI | 1467487322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200600865) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 26169) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-04 |