| NPI | 1669438883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME53652) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 33357) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-07-06 |