| NPI | 1497940696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 062703) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA 432728) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2022-01-07 |