| NPI | 1861487415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 50537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2001019994) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2023-09-21 |