| NPI | 1215466917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-02270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-47488) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-09-28 |