| NPI | 1841306990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD22623) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR 25389) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2023-03-07 |