| NPI | 1992746804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 029020) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 029020) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-02-14 |