| NPI | 1235589136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD194986) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-10589) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2019-10-22 |