| NPI | 1871684654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2009007117) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006016560) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-07-12 |