| NPI | 1558337964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 25938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 4576) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-07-29 |