| NPI | 1457856106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 288938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD473261) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-08-12 |