| NPI | 1104080423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA L-235772) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 244200) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-07-06 |