| NPI | 1548241086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 15221) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2021-11-10 |