| NPI | 1568856185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 281183) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 155441) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2020-04-23 |