| NPI | 1518353283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 67492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 5802) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-12-07 |