| NPI | 1154740900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2018-0726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD182409) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-10-29 |