| NPI | 1467597765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD20145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC CS9308133) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-03-13 |