| NPI | 1649512682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 108361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 70028) |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2022-11-25 |