| NPI | 1164741906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A156179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 4431) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2018-07-16 |