| NPI | 1538271069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 29057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 27367) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-12-04 |