| NPI | 1801901236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 49091) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9901510) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-05-02 |