| NPI | 1336793850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2019-0242) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC VL4795) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-09-24 |