| NPI | 1548417553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 66257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 002948) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2022-02-24 |