| NPI | 1801885058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 36620) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 52441) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-04-13 |