| NPI | 1629294665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME131370) |
| Additional Taxonomies | 2080H0002X (Licence: GA 001265) |
| 208000000X Pediatrics (Licence: GA 62137) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-07-21 |