| NPI | 1588643076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 20050838) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 20050838) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2021-02-19 |