| NPI | 1528424371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 285516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A135613) |
| 208000000X Pediatrics (Licence: TX BP10061793) | |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2019-09-19 |