| NPI | 1588004907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 24384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2647) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2021-12-15 |