| NPI | 1437438611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD #9303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301099364) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2022-03-31 |