| NPI | 1124080353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 71542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 13327) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-03-07 |