| NPI | 1366734808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD167908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 172996) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2021-01-16 |