| NPI | 1578882874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 052279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 2089) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2021-06-21 |