| NPI | 1700110301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N7306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R70708) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2022-09-12 |