| NPI | 1144589490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA09778300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60774405) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2018-03-17 |