| NPI | 1881864171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 204529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA GETP.LSU.PEDS) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-06-08 |