| NPI | 1952562456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-34904) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010011560) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-01-13 |