| NPI | 1497054639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A149072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD resident) |
| 208000000X Pediatrics (Licence: AZ 48927) | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2018-10-26 |