| NPI | 1760617013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 773) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0064278) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2024-03-01 |