| NPI | 1225521305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 177394) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT215515) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-10-09 |