| NPI | 1457701955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2022-00738) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD466940) |
| 208000000X Pediatrics (Licence: MI 4301110240) | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-09-02 |