| NPI | 1689635179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS009944L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 44727) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2020-07-30 |