| NPI | 1770654196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 058030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 58030) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2024-12-02 |