| NPI | 1538110978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E9760) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 111226) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-07-21 |