| NPI | 1568778991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 14139) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 16721) |
| 208000000X Pediatrics (Licence: IL 125058734) | |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2025-02-18 |