| NPI | 1831309921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101248110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301086445) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-10-18 |