| NPI | 1871702225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 204769) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 27990) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-04-26 |