| NPI | 1598086167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-01705) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 54189) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2022-02-02 |