| NPI | 1629038831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD48840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 00025366) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2022-03-22 |