| NPI | 1689704868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.201205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 201205) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-08-31 |