| NPI | 1821248451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 30913) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 046900) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2022-07-21 |