| NPI | 1740249945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 59645) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 57712) |
| 208000000X Pediatrics (Licence: NV 7272) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-07-21 |