| NPI | 1801052758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 41887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N9799) |
| 208000000X Pediatrics (Licence: IL 125-052984) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2022-01-05 |