| NPI | 1972545101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC do83004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60976676) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-03-29 |