| NPI | 1154590891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 240492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229116) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2017-10-20 |