| NPI | 1497016943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME123982) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS MS24293) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2024-08-24 |