| NPI | 1598767857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 63712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS8651) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-02-10 |