| NPI | 1760610018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-36021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011002802) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2022-07-21 |