| NPI | 1891885430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 48355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006020973) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-06-15 |