| NPI | 1487731204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 305136) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 19346) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-11-12 |