| NPI | 1528590866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 97075) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN DO0000004009) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-11-16 |