| NPI | 1043453814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 152298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 24915) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2022-02-10 |