| NPI | 1740297878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 27298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 11035) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2024-01-15 |