| NPI | 1770629099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 35005) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 35005) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-05-08 |