| NPI | 1417179227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 12590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 206291) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-02-19 |