| NPI | 1790994762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-01761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101241306) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-08-25 |