| NPI | 1639148877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME57590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 9489) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-03-14 |