| NPI | 1760492185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 66842) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 53549) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-09-05 |