| NPI | 1487634408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD211746) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R3N75) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2024-03-13 |