| NPI | 1487855771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 238443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 14377) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-01-25 |