| NPI | 1578859450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A122445) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GU M-1892) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-11-19 |