| NPI | 1689727679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 50025) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 49119-020) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2022-12-30 |