| NPI | 1639142003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 58060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 14917) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2022-01-07 |