| NPI | 1598740045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 19568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 60351) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-01-04 |