| NPI | 1023277597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-43891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 25531) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-02-11 |