| NPI | 1821247727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 7979A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY TL1033) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-11-04 |