| NPI | 1821198375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-01177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101240146) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-07-12 |