| NPI | 1801884861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 31267) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 31267) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-04-20 |