| NPI | 1013250125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301113129) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 281160) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-01-07 |