| NPI | 1437442662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 147000) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258112) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2019-04-01 |