| NPI | 1790876274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD16301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK MD4098) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-11-12 |