| NPI | 1023344025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 35842) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD439393) |
| 208000000X Pediatrics (Licence: PA MT190583) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2020-10-14 |