| NPI | 1902843576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS18575) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS006910L) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-10-11 |