| NPI | 1598962896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 32545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2011-00935) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2021-06-09 |