| NPI | 1609215342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 290807-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0054723) |
| 208000000X Pediatrics (Licence: IL 125063655) | |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2017-11-21 |