| NPI | 1518303494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 55308) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.33993) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2021-10-25 |