| NPI | 1992966501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 65874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 1177LL) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-08-23 |