| NPI | 1942542030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 119450) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 191870) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-05-16 |