| NPI | 1962663468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-05684) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101019430) |
| 208000000X Pediatrics (Licence: OH 34.012337) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-06-15 |