| NPI | 1598704173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 43331) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 95473) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-05-19 |