| NPI | 1871661272 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC md32986) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC D57191) | 
| Enumeration Date | 2006-12-01 | 
| Last Update Date | 2022-01-07 |