| NPI | 1912223959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: ID M-12508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-12508) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2024-09-17 |