| NPI | 1518161033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 63950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 29910) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2025-06-13 |