| NPI | 1518374131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 311623) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301106120) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2022-07-18 |