| NPI | 1902881246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 46036) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 36025) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2024-01-18 |