| NPI | 1942511126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301097118) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 60686) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-01-05 |