| NPI | 1477889509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.133285) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71578) |
| Enumeration Date | 2009-10-24 |
| Last Update Date | 2021-03-04 |