| NPI | 1396005898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 56125) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 279376) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2018-06-01 |