| NPI | 1184155418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 283267) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 65286) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-08-14 |