| NPI | 1174755276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD038271) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 41590) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2021-12-15 |