| NPI | 1558881870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1020263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-47572) |
| 208000000X Pediatrics (Licence: MO 2017016024) | |
| 208000000X Pediatrics (Licence: MN 69954) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-07-16 |