| NPI | 1558653915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.207079) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301108852) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-03-14 |