| NPI | 1477993277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD202119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042.0014074) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-10-15 |