| NPI | 1861837072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 77687) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260604) |
| 208000000X Pediatrics (Licence: KS 04-39304) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2022-07-21 |