| NPI | 1245200534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301074472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 243798) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2018-12-06 |