| NPI | 1255966743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1019360) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 70740) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-10-01 |