| NPI | 1700088846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI 17956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 7298) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-03-07 |