| NPI | 1831170562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101248916) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000038101) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-05-01 |