| NPI | 1467563106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.023806) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 12535) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-05-04 |