| NPI | 1588644249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 33872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 106) |
| 208000000X Pediatrics (Licence: CA A69282) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-11-08 |