| NPI | 1538508825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME165200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103984) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-01-05 |