| NPI | 1841556602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 109861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 262332) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-03-07 |