| NPI | 1932216975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 12807093-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 41975) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-03-07 |