| NPI | 1720222755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 11161A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 32206) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2023-06-01 |