| NPI | 1710179924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN DO3014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS10533) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2022-03-22 |