| NPI | 1548431356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 50289) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD433744) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2020-09-23 |