| NPI | 1093133407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 144955) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD461711) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2022-09-29 |