| NPI | 1417223306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD475134) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR0055322) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2021-11-04 |