| NPI | 1518950575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD30447) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS MD15922) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2022-03-30 |