| NPI | 1316328818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1020695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-00426) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-12-27 |