| NPI | 1609977842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 9406263-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 10630) |
| 208000000X Pediatrics (Licence: ID M11797) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-12-01 |