| NPI | 1598980567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301085607) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2009-01209) |
| 208000000X Pediatrics (Licence: SC 34176) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-12-01 |