| NPI | 1235528274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 289414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 21854) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2024-07-18 |