| NPI | 1326451618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-00447) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206348) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-05-18 |