| NPI | 1669797551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2017024975) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-40171) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2022-07-21 |