| NPI | 1538115316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 213816) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 11666) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2023-11-30 |