| NPI | 1316396385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD194500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 1316396385) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-12-20 |