| NPI | 1023035805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D92241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200001241) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2021-09-01 |