| NPI | 1659538023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS015057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT011947) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2023-06-13 |