| NPI | 1487627550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD171324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 9839) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-03-25 |