| NPI | 1497011472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0062826) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 279595) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-09-27 |